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Complex care, panel management and measurement: Innovative approaches for addressing the needs of patients with complex care needs Palliative care's role in facilitating panel management Selecting relevant process and outcome measures Effecting change: Identifying key partnerships Shaping the message Time will be alloted for a structured exercise in which participants will create action plans, identifying key stakeholders in their environment and shaping a message relevant to their local situation. These action plans, with timelines, will be shared among participants for feedback from session faculty and peers.

Objectives 1. Describe the provider-level barriers and facilitators to implementing a home-based palliative care program within a community-based hospice agency. 2. Describe several strategies for implementing a home-based palliative care program within a community-based hospice agency. Original Research Background. Despite repeated studies demonstrating that home-based palliative care (HBPC) can improve patient outcomes while decreasing costs of care, replication of this model in fee-for-service has been stymied by a lack of reimbursement structure. To overcome this barrier, a large California-based health insurer has begun to reimburse contracting medical group providers for HBPC. Little is known about the provider-level experience of developing and implementing a reimbursable HBPC program as part of a community-based hospice organization. Research Objectives. The purpose of this qualitative study was to explore the provider-level impact of implementing HBPC as a covered health benefit. Methods. Focus groups were conducted among three interdisciplinary HBPC teams from community-based hospice organizations implementing the HBPC program and serving geographically and culturally diverse patient populations.

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